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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Dryness On The Face, Hands And Mouth, Muscle Stiffness And Fatigue?

I have been experiencing unusual dryness in my face, hands and mouth along with muscle stiffness, soreness, and fatigue. I don t test as having a thyroid problem but my doctor put me on a thyroid medication anyway. However, after about 6 weeks on it - 1 grain of Naturthroid - the dryness was so severe I had to stop. I have also experienced some tingling in my extremeties. What could this be?
Mon, 22 Apr 2019
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General & Family Physician,  's  Response
Hello,

I suspect mostly Multiple Sclerosis and Infectious Mononucleosis.
Although, I will not skip any other disease. Keeping all these in mind, I would like to give some tests:
1. Abdomen CT
2. Heterophile antibody test
3. Transaminase Level
4. MRI of the brain
5. Liver Function Tests
6. Thyroid Function Test (T3, T4, TSH)
7. Complete Blood Count
8. Fasting Blood Sugar (Morning sample)

I can understand I have given many tests but I would like you to do these as it will allow any doctor not to overlook any disease and will give deeper insights into the problem.

Meanwhile, I would like you to start this medication: 1. Modafinil
2. DALFAMPRIDINE.

Please after the results come, post another question with those results. We have skilled doctors here who can follow you up.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Dipan Samanta, General & Family Physician
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What Causes Dryness On The Face, Hands And Mouth, Muscle Stiffness And Fatigue?

Hello, I suspect mostly Multiple Sclerosis and Infectious Mononucleosis. Although, I will not skip any other disease. Keeping all these in mind, I would like to give some tests: 1. Abdomen CT 2. Heterophile antibody test 3. Transaminase Level 4. MRI of the brain 5. Liver Function Tests 6. Thyroid Function Test (T3, T4, TSH) 7. Complete Blood Count 8. Fasting Blood Sugar (Morning sample) I can understand I have given many tests but I would like you to do these as it will allow any doctor not to overlook any disease and will give deeper insights into the problem. Meanwhile, I would like you to start this medication: 1. Modafinil 2. DALFAMPRIDINE. Please after the results come, post another question with those results. We have skilled doctors here who can follow you up. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Dipan Samanta, General & Family Physician